June 2012 Health and Disease summary - DOHCases by month, 2012 and 5‐year median 2012 cumulative...

11 Jan - 31 March 2012, Provisional Data

June 2012Health and Disease summarySouth Dakota Department of Health http://doh.sd.gov

Wheat harvest in Sully County Photo by Dave Tunge. http://southdakotamagazine.com/the‐wheat‐ritual

South Dakota infectious disease summary 20121 Jan – 30 June 2012, Provisional Data

2

Disease/Agent Casesyear‐to‐date

Rate (cases per 100,000 population)

5‐yr median cases (2006‐2011)

Percent change

Campylobacter 105 12.9 147 -29%Chlamydia 1772 217.6 1468 +21%Cryptosporidiosis 52 6.4 51 +2%E. coli, shiga toxin-producing 16 2.0 14 +14%Giardiasis 42 5.2 34 +24%Gonorrhea 261 32.1 162 +61%HIV AIDS 16 2.0 13 +23%MRSA, invasive 34 4.2 42 -19%Pertussis 6 0.7 14 -57%Rabies, animal 36 na 16 +125%Salmonella 70 8.6 82 -15%Syphilis, early 7 0.9 1 +600%Tuberculosis 11 1.4 5 +120%West Nile 0 0.0 2 -

Births and deaths, South Dakota, 2012

12,25312,074 11,930 11,795 11,834

10000

10500

11000

11500

12000

12500

13000

2007 2008 2009 2010 2011*

Live births, 2007‐2011

906

1760

2746

3663

4696

958

1858

2900

3946

4983

6036

7042

8048

9054

10036

10949

11930

0

2000

4000

6000

8000

10000

12000

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Births by month, 2012 and 5‐year median2012 cumulative 5‐yr median

3

1 Jan – 31 May 2012, Provisional Data

Vital Records: http://doh.sd.gov/VitalRecords

6,8007,056 6,913

7,0877,271

5000

5500

6000

6500

7000

7500

8000

2007 2008 2009 2010 2011*

Deaths, 2007‐2011653

1223

1885

2528

3075

608

1165

1758

2351

2946

3496

4080

4645

5187

5837

6451

7056

0

1000

2000

3000

4000

5000

6000

7000

8000


Deaths by month, 2012 and 5‐yr median2012 cumulative 5‐yr median

*2011 numbers provisional

Shiga toxin‐producing E. coli in South Dakota

4753

71

3541

0

20

40

60

80

100

2007 2008 2009 2010 2011

Shiga toxin E. coli, 2007‐2011

3 5 8 11 14 16

0

20

40

60

80


Cases by month, 2012 and 5‐year median2012 cumulative5‐yr median (±25%)

4

1 Jan – 30 June 2012, Provisional Data

0

4 4

3

2

3

00

1

2

3

4

5

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr

Age of cases

Zip Region Cases Rate*

570xx 7 4.0571xx 4 2.5572xx 0 0.0573xx 2 2.5574xx 2 3.4575xx 0 0.0576xx 0 0.0577xx 1 0.5Total 16 2.0

Disease fact sheets: http://doh.sd.gov/diseasefacts

*Rate: cases per 100,000 population

Zip code regions

Salmonella in South Dakota

172152

198 186162

0

50

100

150

200

250

2007 2008 2009 2010 2011

Salmonella, 2007‐2011

7 11 22 3253

70

0

50

100

150

200

250



5


68 7

96

26

8

0

5

10

15

20

25

30

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr

Age of casesZip Region Cases Rate*




Zip code regions

Campylobacteriosis inSouth Dakota

232264

298 297 301

0

50

100

150

200

250

300

350

2007 2008 2009 2010 2011

Campylobacter, 2007‐2011

5 11 2044

73105

0

50

100

150

200

250

300

350



6


3

128

21

2823

8

0

10

20

30

40

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr





Zip code regions

Cryptosporidiosis inSouth Dakota

169

88

138

108

146

0

50

100

150

200

2007 2008 2009 2010 2011

Cryptosporidiosis, 2007‐2011

6 1224

34 4152

0

50

100

150



7


1

89

5

9

15

5

0246810121416

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr





Zip code regions

Giardiasis in South Dakota

102

136

112102 110

020406080100120140160

2007 2008 2009 2010 2011

Giardia, 2007‐2011

917

27 31 37 42

‐25

25

75

125



8


0

9

7

3

98

6

0

2

4

6

8

10

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr





Zip code regions

HIV/AIDS in South Dakota

25

34

21

35

21

0

10

20

30

40

2007 2008 2009 2010 2011

HIV/AIDS, 2007‐2011

0 0 1

7

15 16

0

5

10

15

20

25

30



9


HIV surveillance website: http://doh.sd.gov/Disease/statistics.aspx

Region Cases Rate*

East River 7 1.2West River 9 3.7Total 16 2.0

Gonorrhea in South Dakota

254

384343

468

602

0

100

200

300

400

500

600

700

2007 2008 2009 2010 2011

Gonorrhea, 2007‐2011

4090

146192

230261

0

100

200

300

400

500



10


0 0 1

152

97

110

020406080100120140160

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr

Age of casesZip Region

Cases Rate*




Zip code regions

Syphilis in South DakotaPrimary, Secondary and Early Latent Syphilis

9

4

2

4

00

2

4

6

8

10

2007 2008 2009 2010 2011

Syphilis (early), 2007‐2011

0 0 0 0

4

7

0

2

4

6

8

10



11


0 0 0 0

2

5

00

2

4

6

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr

Age of cases

Zip Region Cases Rate*




Zip code regions

Chlamydia in South Dakota

2,6122,919 3,016 3,191

3,409

0500100015002000250030003500

2007 2008 2009 2010 2011

Chlamydia, 2007‐2011

326614

10021316

1595 1772

0

1000

2000

3000

4000



12


0 0 13

1287

434

33 20

200

400

600

800

1000

1200

1400

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr


570xx 205 118571xx 421 261572xx 105 145573xx 139 171574xx 57 96575xx 145 272576xx 117 560577xx 583 304Total 1,772 218



Zip code regions

Pertussis in South Dakota

6166

58

3237

010203040506070

2007 2008 2009 2010 2011

Pertussis, 2007‐2011

3 4 5 5 5 6

0

10

20

30

40

50

60



13


0

1

2

0

1

2

00

1

2

3

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr





Zip code regions

Tuberculosis in South Dakota

13

1618

15 15

0

5

10

15

20

2007 2008 2009 2010 2011

Tuberculosis, 2007‐2011

1 2

7 810 11

0

5

10

15

20



14


0

2

0 0

3

4

2

0

1

2

3

4

5

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr





Zip code regions

MRSA in South DakotaInvasive Methicillin‐Resistant Staphylococcus aureus

8776

92 9891

0

20

40

60

80

100

120

2007 2008 2009 2010 2011

MRSA, 2007‐2011

413 17

25 2734

0

25

50

75

100



15


0 0 0 0 1

18

15

0

5

10

15

20

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr





Zip code regions

Hepatitis C in South Dakota

310

364

346 351339

280

300

320

340

360

380

2007 2008 2009 2010 2011

Hepatitis C, 2007‐2011

31

59

88111

128145

0

50

100

150

200


Cumulative Cases by month, 2012

16


0 0 09

46

85

50

20

40

60

80

100

<1 yr 1‐4yr 5‐14yr 15‐24yr 25‐39yr 40‐64yr 65+yr





Zip code regions

Rabies, South Dakota1 Jan – 30 June 2012, Provisional Data

17

6 7 9

21

28

36

0

10

20

30

40

50

Jan Feb Mar AprMay Jun Jul Aug Sep Oct Nov Dec

Cases by month, 2011 and 5‐year median2011 Cumulative 5‐yr median (± 25%)

Skunk, 19

Cattle, 12

Horse, 3

Bat, 2

27 24

53

3240

0

10

20

30

40

50

60

2007 2008 2009 2010 2011

Rabies, 2007‐2011

36 rabid animals

Healthcare Associated Infections, South Dakota1 Jan – 30 June 2012, Provisional Data

18

• 14 of 17 SD facilities participating in the National Healthcare Safety Network (NHSN) report to the Dept of Health.

• 3 target areas:o Clostridium difficile infections;o Bloodstream MRSA (methicillin-resistant Staphylococcus

aureus);o Central line associated bloodstream infections (CLABSI).

• Reports 1 January – 30 June 2012. o C. difficile: no cases reported.o MRSA (bloodstream): no cases reported.o CLABSI: 6 cases reported.

Please see www.cdc.gov/nhsn


19

Other diseases, South Dakota, Year‐to‐date 2012

DiseaseTotal cases YTD

5‐yr median (2007‐2011)

Zip code region

570xx 571xx 572xx 573xx 574xx 575xx 576xx 577xx

Chicken pox 15 28 1 2 2 3 0 0 0 7

Erlichiosis/Anaplasmosis 0 0 0 0 0 0 0 0 0 0

Hantavirus pulm synd 1 0 0 0 0 0 0 0 0 1

Hepatitis A 0 2 0 0 0 0 0 0 0 0

Hepatitis B, acute 0 1 0 0 0 0 0 0 0 0

Hepatitis B, chronic 11 ‐ 0 5 1 3 0 0 0 2

Legionnaires’ 3 1 0 2 0 0 0 0 1 0

Lyme disease 1 1 1 0 0 0 0 0 0 0

Malaria 1 0 0 1 0 0 0 0 0 0

Meningococcal, invasive 0 2 0 0 0 0 0 0 0 0

Q Fever 1 2 0 0 0 0 0 1 0 0

Rocky Mt Spotted Fever 1 1 1 0 0 0 0 0 0 0

Shigella 2 4 0 0 0 0 2 0 0 0

Strep pneumo, invasive 47 ‐ 10 12 5 5 2 2 1 10

Tularemia 2 1 0 0 0 1 0 1 0 0

20

South Dakota, diseases past 10 years, 2002 ‐ 2011Reportable Diseases 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011* Median

Campylobacteriosis 198 188 273 244 219 235 262 298 296 301 253

Chlamydia 2215 2606 2534 2701 2633 2612 2919 3016 3191 3409 2667

Cryptosporidiosis 42 49 44 31 86 169 88 138 108 146 87

E. coli, shiga toxin‐producing 41 29 33 29 50 47 53 71 35 41 41

Giardiasis 83 89 87 118 97 104 136 112 102 110 103

Gonorrhea 263 226 304 351 367 254 382 345 468 602 348

Hantavirus pulmno syndro 0 1 1 2 2 1 0 0 0 1 1

Hepatitis A 3 0 4 1 9 7 3 3 1 2 3

HIV and AIDS 19 25 19 33 34 25 34 21 35 21 25

Legionellosis 4 2 5 21 5 4 3 2 9 2 4

Meningococcal disease 2 1 4 4 4 3 3 5 0 3 3

MRSA, invasive NR NR 36 47 50 87 76 91 98 91 82

Mumps 0 0 0 0 296 6 1 2 2 0 0.5

Pertussis 8 7 169 183 26 61 68 58 32 37 48

Q Fever 1 0 0 2 2 1 1 9 4 1 1

Rabies, animal 96 132 94 68 38 27 24 53 32 40 46

Salmonellosis 121 131 156 160 135 172 152 198 186 162 158

Shigellosis 157 17 13 131 389 122 76 4 7 6 46

Tuberculosis 13 20 11 16 14 13 16 18 15 15 15

Tularemia 3 5 4 8 5 7 10 5 11 8 6

West Nile neuroinvasive 14 170 6 35 38 48 11 6 4 0 12

West Nile fever 23 869 45 194 75 160 28 15 16 2 36

1 Jan - 31 March 2012, Provisional Data

21

Reportable Diseases List http://doh.sd.gov/Disease/Report.aspxMonthly surveillance reports http://doh.sd.gov/ID/site.aspx

How to report infectious diseases1. Secure disease reporting website: www.state.sd.us/doh/diseasereport2. Telephone: 1‐800‐592‐1804 confidential recorder; or 1‐800‐592‐1861 or 605‐773‐3737

for a disease surveillance person during normal business hours; after hours to report Category I diseases or other emergencies, call 605‐280‐4810.

3. Fax: 605‐773‐55094. Mail or courier, address to: Infectious Disease Surveillance, Office of Disease

Prevention, Department of Health, 615 East 4th Street, Pierre, SD 57501; marked ʺConfidential Disease Reportʺ

Department of Health publications• Infectious disease report: http://doh.sd.gov/ID/site.aspx

• Public Health Bulletin: http://doh.sd.gov/Bulletin/default.aspx

•Natality birth report: http://doh.sd.gov/Statistics/2009Vital/Natality.pdf

• Infant mortality report: http://doh.sd.gov/Statistics/2009Vital/InfantMortality.pdf

•Mortality report: http://doh.sd.gov/Statistics/2009Vital/Mortality.pdf

•Adult Risk Behaviors: http://doh.sd.gov/Statistics/2009BRFSS/default.aspx

• Youth Risk Behaviors (Dept of Education): http://doe.sd.gov/schoolhealth/yrbs.asp

1 Jan - 31 March 2012, Provisional Data 22

Zip Code Region Hub city Population %

570xx Sioux Falls 173,060 21%

571xx Sioux Falls core 161,141 20%

572xx Watertown 72,216 9%

573xx Mitchell 81,395 10%

574xx Aberdeen 59,600 7%

575xx Pierre 53,255 6%

576xx Mobridge 20,898 3%

577xx Rapid City 191,782 24%

Total South Dakota 20 100%

Zip 570xx; 173,060; 21%

Zip 571xx; 161,141; 20%

Zip 572xx; 72,216; 9%

Zip 573xx; 81,395; 10%

Zip 574xx; 59,600; 7%

Zip 575xx; 53,255; 6%

Zip 576xx; 20,898; 3%

Zip 577xx; 191,782; 24%

Population of South DakotaZip Code Regions

South Dakota Zip Code Regions

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